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The field of urogynecology is a subspecialty within Obstetrics and Gynecology and is dedicated to the study and treatment of pelvic floor disorders in women, in all the various ways that it can present itself.
Urogynecologists have completed medical school and a four-year residency in Obstetrics and Gynecology, or Urology. These doctors become specialists with additional training and experience in the evaluation and treatment of conditions that affect the female pelvic organs, and the muscles and connective tissue that support the organs. Many, though not all, have completed formal fellowships (additional training after residency) that focused on the surgical and non-surgical treatment of non-cancerous gynecologic problems. As is always the case, you should feel very comfortable asking about the training and expertise of any doctor caring for you.
 Sandra J. Greco, M.D., FACOG
Sandra J. Greco, M.D., FACOG, received a master’s of science degree from the Columbia University College of Physicians and Surgeons Institute of Human Nutrition in New York. She earned her doctor of medicine degree at New York Medical College in Valhalla, New York.
She completed a residency in obstetrics and gynecology at our Lady of Mercy Medical Center, a New York Medical College affiliate in the Bronx, where she did post-residency work as an attending in the hospital’s department of Obstetrics and Gynecology. She completed fellowship training in urogynecology and pelvic reconstructive surgery at St. Luke’s Hospital, Bethlehem, Pa.
Dr. Greco joined Monmouth from Mountain Comprehensive Health Corp, in Whitesburg Ky., where she served as a full-time attending in their Department of Obstetrics and Gynecology. At Monmouth, she will lead the hospital’s newly created Division of Urogynecology and Pelvic Reconstructive Surgery, dedicated to the non-surgical and surgical management or urinary incontinence and other pelvic floor disorders.
Board certified in obstetrics and gynecology, Dr. Greco is a fellow of the American College of Obstetrician and Gynecologists. Her professional affiliations also include the American Urogynecologic Society and the American Chemical Society, and she has presented her research findings at numerous national urogynecological conferences. Bilingual , she is fluent in Spanish as well as English.
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 Betsy A. B. Greenleaf, DO, FACOOG
Dr. Betsy A. B. Greenleaf, DO, FACOOG is a University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine graduate. She has extensive surgical experience above and beyond the average gynecologist and urogynecologist having trained in general surgery (which included trauma, colorectal surgery, burn medicine, plastic surgery, urology, and transplant medicine) as well as gynecology and urogynecology. Her urogynecology fellowship training was completed with one of the field’s top international researchers, inventors, and surgeons. Through this training she was exposed to techniques only a few elite physicians have access to. Her deep desire to improve the lives of women, along with her superior surgical skills set her apart as a top urogynecologists. Her professional reputation has led to her being sought after by medical societies, organizations and industry to provide lectures, teaching, and advanced training. She was the first physician in the state of New Jersey to perform the needleless Mini-arc Sling by AMS. She was one of only 70 physicians worldwide to be initially trained on this sling system and one of 90 physicians to be trained on the Elevate system. She was the first urogynecologist to have robotic privileges at Monmouth Medical Center and at Kennedy Health System. She performed the first robotic sacral colpopexy through the Kennedy Health System. She serves on the membership committee of the American Urogynecology Society and is a member of the American Osteopathic Board of Obstetrics and Gynecology subcommittee for the development of board certification in Female Pelvic Medicine and Reconstructive Surgery. She is involved with multiple organizations and numerous research projects aimed at the advancement of female pelvic health.
Dr. Greenleaf specializes in the evaluation and treatment of prolapse, incontinence and urinary urgency/frequency. Her added interest in pain conditions such as pelvic pain, vaginal pain, vaginismus (spasming of the vagina), interstitial cystitis, chronic cystitis, chronic vaginitis, and dyspareunia (pain with intercourse) differentiates her from many other urogynecologists.
She has a very caring and supportive approach to patient care. With thorough testing, you will be presented with all of your care options. Dr. Greenleaf believes in a multi-disciplinary approach to healing including behavior and dietary modification, supplements, alternative therapies, holistic regimen, acupuncture, physical therapy, medications, non surgical and surgical therapy. Surgical therapies are aimed at the least invasive approach that will return you to your normal life as soon as possible. It is through working with Dr. Greenleaf that you will find a treatment option that best suits your needs and desires.
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 Martin P. Michalewski, MD
Martin P. Michalewski, M.D., F.A.C.O.G, a urogyncologist, has an impressive list of credentials in his work with robotic and minimally invasive laparoscopic surgery. He helped pioneer many urogynecological laparoscopic procedures which have improved the quality of life for so many women who have experienced urinary incontinence, cystocele, rectocele, uterine/vaginal prolapse, pelvic pain, bleeding, fibroids and others.
Dr. Michalewski received the achievement award from the Society of Laparoscopic Surgeons, distinguishing him as among the best laparoscopic surgeons and he is a recipient of Outstanding Researcher Status for his past research activities. He currently serves as proctor, consultant and lecturer for major surgical companies such as Ehicon’s Endo Surgery, Gynacare Women’s Health and Urology, American Medical Systems, Intuitive Surgical’s DaVinci Robotic System, Wisap GmbH, Synergy Surgical and Covidien’s SILS, teaching other surgeons newest minimally invasive surgical techniques.
Dr. Michalewski believes that living with urinary incontinence, prolapse, pessaries, bleeding, pain or fibroids and not being able to exercise or wearing pads do not have to be a part of any woman’s daily life. Many of these conditions have negative impact on daily activities or sexual function. Often women feel that they have to accept these conditions and they never seek medical help. Significant advances have been made in this field and procedures are done now on outpatient bases, which require only a few hours of hospital stay with return to work or daily activities in few days to one week in most cases. There are also multiple new medical treatment options present today that can be employed in place of surgery.
Dr. Michalewski graduated from Medical University of Gdansk, Poland where he also trained and worked as attending urogynecologist. Since his arrival in US in early 1990’s, he studied, trained, conducted research and worked at Long Island University, Brooklyn Campus, New York State Institute for Basic Research on Staten Island, then continued his clinical training at Saint Vincent Medical Center, Sisters of Charity Health Care System, Staten Island, and New York Hospital Flushing Medical Center, Queens. For the past several years, Dr. Michalewski provided exclusive urogynecologic services for hospitals in Boca Raton and Fort Lauderdale, serving as Director of Urogynecology and Reconstructive Pelvic Surgery for South Florida Women’s Health Associates, Broward and Palm Beach Counties, FL.
“The field of urogynecology and minimally invasive gynecologic surgery really evolved in the early 2000s,” he says. “In the past, women were expected to live with these problems. But now women live longer and are more active, and they deserve to maintain a high quality of life.”
Dr. Michalewski lives with his wife and son in Monmouth County, New Jersey. He enjoys sports, reading but is happiest when he’s playing with his son.
Patient Testimonial (PDF)
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